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  1. McGoo

    Ped major trauma - Houston FD delayed EMS response?

    Ok, maybe I need to clarify my statement. I have no problem with the FD arriving first. In a major emergency, yes, absoloutely send an ambulance at the same time. But to not send FD at all, when they may be closer, would be a mistake. Without knowing the details of the case in question, we cant...
  2. McGoo

    what Knife do you carry on duty?

    I have a cheap chinese Leatherman (poor) imitation, some issued trauma shears, and some sterile scissors. None of it gets much use, but when you need them, you really need them.
  3. McGoo

    What Are You Listening To?

    Home - Edward Sharpe and the Magnetic Zeroes. I love me some music that sounds like the singers are having fun.
  4. McGoo

    Ski Patrol

    Hah, yeah I did think it was a bit odd. I was sitting top top of 3000 acres of world class terrain, and unless it was a powder day or summin, I really didnt care. My gear was run down, I had lost motivation, and I didnt care one bit. I havent skied since 2007, and I dont really miss it. I went...
  5. McGoo

    Horrible time....need to chat :(

    When I first read your posts, the first thing I thought was 'he's cheating.' The cause may be a mid-life crisis, it may not, but the end result is the same. You feel horrible (to put it mildly), and trust is gone. What has happened was not your choice, but what you do from here on is. Take...
  6. McGoo

    Ped major trauma - Houston FD delayed EMS response?

    In the first few moments after a major trauma, a person first needs A, B, and C. What are the first things that are checked when you bring in any unstable patient? Airway, breathing, and circulation. Yes, they still need all manner of procedures that are far beyond the pre-hospital scope, but...
  7. McGoo

    Ski Patrol

    I was pro patrol for a few years, mainly in BC. I was hired on the back of being a ski instructor who was simply very keen to be a patroller. My first season I was a 'caddy', where I was basically pro patrol's :censored::censored::censored::censored::censored:, I did everything they did except...
  8. McGoo

    Ped major trauma - Houston FD delayed EMS response?

    I don't see a major problem with sending FD first. If someone is majorly sick, especially from a trauma, most of the time they dont need advanced doodads and doohickeys, they need airway, breathing, and circulation. Which an EMT-B person should be able to do. On the big calls I go on, it's...
  9. McGoo

    What is your most ridiculous call?

    Dispatched to "17yr female, had weed, can't breathe." We got there, she told us she was afraid that it she went to sleep, she would forget to keep breathing. I told her she was in, what we in the trade call "The Green Room." Had a good chuckle after that one.
  10. McGoo

    Narcan or not

    If the patient is being ventilated adequately with an OpA and a BVM, I don't see an immediate need for narcan, but I would probably still give it. I would most likely give 1mg IM, see what happens, give more if it has an effect. But I wouldn't give enough to wake him up, only enough to maintain...
  11. McGoo

    Narcan or not

    Not necessarily. I have had a pt with GCS 3, took an OPA with no complaints, but gagged when the tube hit his cords.
  12. McGoo

    Electronic PCRs

    Our service is converting from paper to ePCRs with iPads. It's a big service, however, and we have our IT guys writing custom software. Everyone is getting personal issue iPads, ours to use how we want.
  13. McGoo

    Hillbilly Deluxe

    So she created an infinite energy loop? Impressive!
  14. McGoo

    Australia recruiting international paramedics

    Ah, roger that. My misunderstanding. We do have private companies, but I have no idea how they recruit or who through, we do all ours in house.
  15. McGoo

    Australia recruiting international paramedics

    Umm, private? The link you posted is for a government run service. And the original links were to a not for profit charity that gets government funding to be the only public emergency responder in the state. We do have private companies, but these two ain't them.
  16. McGoo

    Australia recruiting international paramedics

    Technically we don't have ICP, but we do have crit care medics on the helicopter, so sort of yes. There are only ten or so guys who rotate through the chopper, and it takes a long time to get there. You need to do a masters or postgrad in paramedicine to apply for that role. Our standard...
  17. McGoo

    Australia recruiting international paramedics

    For us, a paramedic means a qualified person who has completed the degree and three years on road training, as we work full time from second year of uni onwards and study full time. Paramedics can intubate, cryc, do 12 leads (coming), chest decompression, bone gun, we have about thirty drugs...
  18. McGoo

    Australia recruiting international paramedics

    I think it's a safe bet that we will still be recruiting then. It's been going on for a few years now, and I don't see it stopping anytime soon. I'm not familiar with EMT-A, but we have paramedic and ambulance officer. Ambulance officer is simply paramedic in training. Paramedic scope is...
  19. McGoo

    Australia recruiting international paramedics

    Ha, this is who I work for. The reason for international recruiting is that we are expanding massively at the moment, and are in short supply of paramedics. 15 years ago maybe 10 or 15 people would get trained every year. Now there are two groups of 100 rookies every year, plus however many get...
  20. McGoo

    funny joke

    A dyslexic man walked into a bra.
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